Active NPI
Scott A Desimone, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Neptune, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NO100183
- Practice address
- 1945 State Route 33
Neptune, NJ 07753-4859 - Phone
- (732) 897-0200
- Fax
- (732) 897-0263
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NO100183 | NJ | Primary |
Addresses
Primary practice location
1945 State Route 33
Neptune, NJ 07753-4859
Mailing address
PO Box 307
Neptune, NJ 07754-0307
Phone (732) 897-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NO100183 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| SWF Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Shore Gastroenterology Associates PC | Past | Accepting new patients | |
| Ocean Surgical Pavilion, PC | Past | Accepting new patients | |
| Allied Digestive Health, LLC | Past | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
625 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 574-3323
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
8380 Riverwalk Park Blvd
Ste 220
Fort Myers, FL 33919
Phone (239) 215-4104
63 Barkley Cir
Ste 104
Fort Myers, FL 33907
Phone (239) 275-8452
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1588236954
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1962926568
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- West Long Beach, NJ
- NPI 1265831259
-
- Ambulatory Surgical Clinic/Center
- Oakhurst, NJ
- NPI 1144291261
-
- Specialist
- Oakhurst, NJ
- NPI 1093719809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962587618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 307",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077540307",
"telephone_number": "732-897-0200",
"fax_number": "732-897-0263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 STATE ROUTE 33",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534859",
"telephone_number": "732-897-0200",
"fax_number": "732-897-0263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESIMONE",
"first_name": "SCOTT",
"middle_name": "A",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "NO100183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.